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[胺碘酮治疗后双侧视神经病变]

[Bilateral optic neuropathy following amiodarone therapy].

作者信息

Krieg P, Schipper I

机构信息

Augenklinik Kantonsspital Luzern.

出版信息

Klin Monbl Augenheilkd. 1992 Feb;200(2):128-32. doi: 10.1055/s-2008-1045725.

Abstract

The amiodarone-induced optic neuropathy seldom occurs and so far, only 17 cases have been reported. These results are summarized here and the differences between them and the ischemic optic neuropathy are pointed out. We report on a 62-years-old patient who, when treated with amiodarone, developed an optic atrophy with slightly decreased visual acuity and severe visual field defects of the left eye. On the right eye we discovered shortly after discontinuing the amiodarone therapy, how, a mild swelling of the optic disc changed to an optic atrophy with analogous, irreversible changes of visual acuity and visual fields.

摘要

胺碘酮所致视神经病变很少发生,迄今为止,仅报告了17例。现将这些结果汇总于此,并指出它们与缺血性视神经病变之间的差异。我们报告了一名62岁的患者,该患者在接受胺碘酮治疗时,出现了视神经萎缩,左眼视力略有下降,视野严重缺损。在停用胺碘酮治疗后不久,我们发现右眼视盘轻度肿胀转变为视神经萎缩,视力和视野出现类似的不可逆变化。

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